Active NPI
Nicola Zwaschka, RDH,MS
- Dental Hygienist
- Montrose, CO
National Provider Identifier
1902202070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH000201748
- Practice address
- 1550 E. Niagara Road
Montrose, CO 81401-5027 - Phone
- (970) 497-4921
- Fax
- (970) 701-4161
- NPI assigned
- Nov 17, 2014
- Last updated
- Jan 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH000201748 | CO | Primary |
Addresses
Primary practice location
1550 E. Niagara Road
Montrose, CO 81401-5027
Mailing address
PO Box 183
Montrose, CO 81402-0183
Phone (970) 209-7059
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54456258 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DH000201748 | CO | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451865600000",
"number": "1902202070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 183",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814020183",
"telephone_number": "970-209-7059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 E. NIAGARA ROAD",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814015027",
"telephone_number": "970-497-4921",
"fax_number": "970-701-4161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZWASCHKA",
"first_name": "NICOLA",
"credential": "RDH,MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-17",
"last_updated": "2016-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CO",
"license": "DH000201748",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54456258",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montrose, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.